Individual
ANGEL ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
255 PENN LAKE DR, REIDSVILLE, NC 27320
(336) 932-5616
Mailing address
255 PENN LAKE DR, REIDSVILLE, NC 27320-2401
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0131000834
VA
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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